Kimberly R. Skinner, DPT
Individual provider Active NPI Physical Therapist · Satanta, KS
NPI 1417528613 · NPPES record last updated Jun 11, 2025
Key facts
- NPI
- 1417528613
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11-03285 (KS)
- Practice address
- 401 Cheyenne
Satanta, KS 67870-8748 - Phone
- (620) 649-2200
- NPI assigned
- Jul 8, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230418001729 | KS | Practitioner - Physical Therapist in Private Practice | 5698140903 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynatest Inc | Physical Therapist | Current |
Accepting new patients |
Locations
23 W 2nd St
Ste A
Liberal, KS 67901
Phone (620) 626-5373
123 E 11th St
Liberal, KS 67901
Phone (620) 626-4321
118 S Main St
Ulysses, KS 67880
Phone (620) 356-3333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-03285 | KS | Yes |
Addresses
Primary practice location
401 Cheyenne
Satanta, KS 67870-8748
Mailing address
PO Box 257
Montezuma, KS 67867-0257
Phone (620) 846-0655
Other providers in Satanta, KS
- Satanta District Hospital and Long-Term Care
- Satanta District Hospital and Long-Term Care
- Satanta District Hospital and Long-Term Care
- Satanta District Hospital and Long-Term Care
- Satanta District Hospital and Long-Term Care
- Virgilio M. Taduran
- Unified School District No. 507
- Robin R Unruh
- Makayla Michelle Walker
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.